30% of US Employers Intend to Drop Healthcare in 2014

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Originally Posted by Aimless

Trying to figure out if this guy really knows what he's talking about. Family medicine is among the most challenging specialties in medicine, and also one of the most rewarding. It's gotten an image problem in the US because of greed, laziness and stupidity on the part of both doctors and patients. If you had a working healthcare system and decent doctors there'd be nothing to stop family medicine from becoming an attractive and highly developed specialty. It already attracts the most dedicated and mature doctors :o

I'm not sure what the public would gain from selectively giving away the easiest patients to the private sector while keeping the most difficult for itself. Sounds about as smart as your present system.

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I take it you'd want to forbid private practice?

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Originally Posted by Loki

I take it you'd want to forbid private practice?

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Oh yeah, I'm sure that's what minx meant when saying, "If you had a working healthcare system and decent doctors there'd be nothing to stop family medicine from becoming an attractive and highly developed specialty."

:donkey:

I don't want to abolish private practice. There are private clinics in various parts of Sweden that offload the county hospitals, which is great. There are often problems, however, eg. with continuity and follow-up. Having seen a number of patients suffer because private clinics aren't really responsible for total care, and having seen the wasteful cleanup the county then has to clean up, I'd at least want some strategies for keeping the problems at a minimum. The drug addled fantasy in the article does not represent any such strategy.

His private sector =

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Doctors, hospitals, and Wal-Mart doc-in-a-box centers would have the option of dispensing any medication or treatment they believe is in a patient's best interest whether it is FDA approved or not. The only requirement is that patients be informed. Hospitals could choose to hire only licensed practitioners or not, and may specialize in particular procedures, or offer general services according to whatever business model they wish to pursue.

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He doesn't delineate what "informed" means. Might that present as a (non-licensed) practitioner at a Walmart doc-in-a-box prescribing and dispensing low dose cyanide pills for the treatment of intestinal worms, by telling the patient it works for canine heart worms? Or a (licensed) practitioner injecting botox into minors' faces?

Any bad outcome would eventually find its way to the public sector for remedy. Then the same old argument begins again....why should we pay taxes for universal care, if it includes private gains at public loss?

Do you do anything other than attack strawmen?

This thread randomly popped up on the Whos Online page. Got a good chuckle out of it.

Oh and in case anyone is stull curious, no obamacare did not destroy employer based health insurance
https://www.nytimes.com/2016/04/05/b...-care-act.html

Wonder why Dread didn't make a similar thread when similar predictions were being made about the GOP's attempts:
http://www.nbcnews.com/business/cons...e-plan-n734951